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Psorilax:Guida a |crema cortisonica contro la psoriasi

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Psorilax:Guida a |crema cortisonica contro la psoriasi

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Psorilax: prezzo, funziona, recensioni, opinioni, composizione

Psoriasis is an unpredictable pathological process that can affect not only the skin of the hands, feet, head, but also joints, nails and eyes. But because of what does it arise and what to do if an exacerbation of the disease occurs?

Psoriasis or scaly lichen is a chronic noncommunicable disease.

It is usually characterized by the appearance of pink spots on the skin that cover dry white flakes. Over time, the affected areas coarsen, overgrown with a crust. The disease is characterized by periods of remission and relapse, alternating depending on provoking factors.

Causes of exacerbation of the disease

Most often, factors depend on the individual characteristics of a person. But still there are common causes leading to the development of scaly lichen.

Sources of the disease can be:

  • stress, strain and stress,
  • weakened immune system
  • chemical and mechanical damage to the skin,
  • prolonged physical activity,
  • unbalanced nutrition and lack of essential vitamins and minerals,
  • hormonal changes during pregnancy,
  • cigarette and alcohol abuse,
  • a sharp change in climate
  • some ingredients in cosmetics
  • disruptions in the endocrine system,
  • taking hormones
  • infectious and viral pathologies,
  • the negative effects of antibiotics, vaccinations and certain types of medical devices.

Remission of psoriasis: what is it?

The term remission refers to the temporary weakening or complete disappearance of the symptoms of the disease. With regard to psoriasis, this condition means the attenuation of the inflammatory process, the disappearance of psoriatic plaques and unpleasant sensations (itching, peeling).

In this case, the patient should understand that the period of remission is not a recovery. Even after the restoration and healing of the skin, pathological changes are preserved in the dermis, and an exacerbation of the psoriatic process can occur at any time. During periods of improvement, the most important task of the patient and the doctor is to follow preventive measures and take medications that can maintain and prolong the state of remission.

How to achieve remission of psoriasis?

To achieve the remission of psoriasis, it is necessary to carefully follow the recommendations of the attending physician and completely reconsider the lifestyle. The complex therapy of psoriasis includes the following measures:

Systemic treatment

The following medications are prescribed to patients:

  1. Antihistamines to relieve itching and inflammation,
  2. Nonsteroidal anti-inflammatory drugs (NSAIDs),
  3. Antibiotics (with the attachment of secondary infections),
  4. In severe forms of psoriasis, cytostatics (Sandimun, Methotrexate), arotmatic retinoids are prescribed.

In addition, the composition of complex therapy includes preparations of calcium, sodium thiosulfate, diuretics are used. This allows you to cleanse the body of toxins and eliminate puffiness. Vitamin-mineral complexes and corticosteroids help strengthen the effectiveness of treatment. To maintain the nervous system, sedatives and antidepressants are prescribed.

External psoriasis treatment

An important role in achieving remission of psoriasis is played by external agents (ointments, gels, solutions, creams, aerosols). Their use allows you to quickly remove painful symptoms, eliminate itching, inflammation and prevent the appearance of new rashes.

Ointments and creams based on salicylic acid, zinc, tar, naphthalan oil, and solidol are especially popular. The pharmaceutical industry produces many drugs based on these components, they can be used for a long time, because they are not addictive and have a minimum of side effects.

With severe manifestations of psoriasis, hormonal ointments are used (Advantan, Dermoveit, Lokoid, Flucinar, Fluorocort, and many others). A doctor should prescribe such drugs, they should be used in short courses, since hormone-based drugs have many side effects and contraindications.

Physiotherapeutic procedures and diet

Great help in achieving remission is provided by physiotherapy. For the treatment of psoriasis, the PUVA method is used (psoralen-based drugs are prescribed simultaneously with ultraviolet radiation). In addition, procedures such as paraffin applications for lesions, cryotherapy, laser excimer therapy help to improve.

During an exacerbation of psoriasis, the patient is prescribed an unloading diet. In the most acute phase of the disease, the patient is recommended therapeutic fasting and taking warm mineral water, which allows you to cleanse the body of toxins. In the future, you must adhere to a healthy diet. Specialists – nutritionists will help you choose the optimal diet (read more here), which will extend the period of remission.

Psoriasis in remission

After you have achieved remission of psoriasis, all efforts should be aimed at maintaining this condition and preventing relapse of the disease. With the right approach and the observance of preventive measures, the ailment may not remind yourself for a long time, sometimes for 2-3 years. So, let’s find out what measures the patient should take to avoid exacerbations of psoriasis.

  • Experts recommend for some time to continue treatment and taking the necessary drugs even after the visible manifestations of psoriasis have disappeared. It is impossible to abruptly interrupt the course of treatment, since in the deep layers of the dermis the inflammatory process still persists and can lead to new exacerbations.
  • After achieving stable remission, no other medications should be taken, except those prescribed by the doctor for health reasons (cardiac, antidiabetic, antihypertensive). Uncontrolled and unsystematic medication can provoke allergic reactions and again cause exacerbation of psoriasis.
  • During periods of remission, it is necessary to timely identify and eliminate any foci of infection in the body (sinusitis, otitis media, tonsillitis, caries, cholecystitis, etc.), to prevent colds and hypothermia.
  • Avoid stressful situations! Neuropsychic overstrain, overwork, nervous breakdowns can cause an exacerbation of the disease. To strengthen the nervous system, drink herbal sedatives (tincture of valerian, motherwort, mint, marshmallow). Of great importance is the psychological attitude and attitude of a person to his illness. You should not focus on the manifestations of the disease, and avoid communication with other people. It is necessary to strive for adaptation in a social and professional environment, this will help to avoid far-fetched complexes and depressive states.
  • Often the cause of repeated rashes is mechanical damage to the skin (the so-called Koebner phenomenon). Therefore, during periods of remission, protect the skin from the appearance of abrasions, injuries, cuts, burns. To prevent scratching and scratching, shorten the nails.
  • Do not get involved in sunbathing and be in direct sunlight for a long time. Ultraviolet with psoriasis has a positive effect, but radiation should be dosed.
  • Try to minimize contact with chemicals (varnishes, paints, solvents) and household chemicals (powders, detergents). They can easily provoke an allergic reaction and exacerbation of the disease.
  • When taking a hot bath or shower, do not use hard washcloths. To wash the body, buy a soft sponge, and instead of soap (which irritates and dries the skin), use soft hypoallergenic gels or shower milk. After water procedures, the skin should not be rubbed, it should be patted with a soft towel and a moisturizing and emollient is applied. This will help eliminate dryness, itching and peeling.
  • Choose the right clothes. Refuse synthetics, all things and linen should be from natural materials (best of all from cotton). Wear light and spacious outerwear that does not tighten the body, does not crush and does not rub the skin. In addition, the right choice of clothing will solve the aesthetic problem. If you give preference to light tissues, then crumbling psoriatic scales will be absolutely invisible against its background.
  • If psoriatic plaques are localized on the scalp, dyeing of hair and the use of other styling cosmetics (varnishes, sprays) are contraindicated. In addition, try to avoid thermal effects and refuse daily hair styling with a hairdryer and the use of ironing or curling.

In order to prolong the state of remission as long as possible, experts advise to periodically cleanse the body. For this purpose, enterosorbents (activated carbon, Polysorb, Enterosgel, Sorbex) are taken. Such drugs help to remove allergens, decay products and toxic substances from the body. It is especially important to take sorbents for violations of the diet or after drinking alcohol.

During the treatment of psoriasis, the patient is forced to take many medications, many of which negatively affect the digestive system and upset the balance of beneficial microflora. Enzyme preparations and probiotics (Linex, Bifiform, Bifidumbacterin) will help eliminate dysbiosis and improve the functioning of the stomach and intestines.

Exacerbations of psoriasis in most cases provokes a weakening of the functions of the immune system, so doctors recommend paying special attention to maintaining the body’s defenses. Strengthening immunity will help taking immunomodulatory drugs and vitamin – mineral complexes. They should be prescribed by the attending physician; they recommend a course of vitamin therapy twice a year.

Spa treatment to maintain remission of psoriasis

The most important role in prolonging periods of remission in psoriasis is spa therapy. A few weeks at sea will make it possible to achieve lasting improvement for many months. Thalassoterpia (sea bathing), mud therapy, hydrogen sulfide and radon baths, treatment with mineral waters are especially useful for patients with psoriasis.

The most popular resorts on the coast. It even cures air soaked in iodine and bromides. And sea water is a real storehouse of useful trace elements, it contains almost the entire periodic table (iodine, iron, calcium, magnesium, potassium, sodium, phosphorus, etc.). And the higher the concentration of salts, the more benefit a patient suffering from psoriasis can get from sea water. Sea water has a powerful antibacterial, antiseptic and stimulating effect, it revives the energy potential of the body, activates the immune system and helps to cope with any infection.

Mud wraps have an excellent therapeutic effect, because in addition to minerals and vitamins, therapeutic mud contains an extensive range of biologically active substances that favorably affect the condition of problem skin. With psoriasis, doctors advise visiting the resorts of the Dead Sea, where there are all conditions for the treatment and rehabilitation of patients with severe dermatological pathologies. The waters of the Dead Sea are characterized by the highest salt concentration, and therapeutic muds have no less unique properties. Hundreds of thousands of patients from around the world come here every year for healing.

In addition, you can go to resort areas located on the shores of the Red, Azov and Black Sea, take medical procedures in specialized sanatoriums in Bulgaria, Abkhazia, Crimea. Mineral and thermal springs in the Caucasus are an excellent treatment option. Bathing in hydrogen sulfide or radon baths, a course of treatment with mineral waters will provide a powerful healing effect. According to statistics, staying at sea for 4 weeks helps 80% of patients with psoriasis achieve stable remission and forget about the manifestations of the disease for several years.

If there is no way to go to the seaside resort, pay attention to the salt lakes, which are almost anywhere in Russia. The salty waters of such reservoirs help no worse than sea water. They contain a unique set of trace elements and in combination with silt mud and ultraviolet work wonders. Salt water (brine) is very concentrated in the lakes and therefore you need to swim in a pond for no more than 15 minutes, as the body experiences a powerful effect, with a high load on the cardiovascular and nervous system.

Spa therapy for psoriasis is considered the main factor that allows you to consolidate the results of treatment. It allows the patient to forget about the disease and live a full life for a long time.

Lifestyle and Nutrition Adjustment

To maintain the effect of remission of psoriasis, a proper diet is simply necessary. The diet should be designed in such a way that alkaline foods prevail on the daily menu. Fresh vegetables and fruits have such alkali-forming properties, they help maintain the acid-base balance and provide immunity.

Acid forming products include protein and starch. This is, first of all, meat products, animal fats. Then cereals, potatoes, fatty dairy products (cheese, cream, sour cream). Their content in the diet should be two times less than the volume of products with alkaline properties.

What should be the basis of the daily diet?
  • The daily diet should be 50% fresh vegetables and fruits. Salads from beets, carrots, cabbage seasoned with natural vegetable oil should be prepared. It is useful to eat fresh cucumbers, onions, celery, garlic, various greens.
  • Proteins (proteins) must be included in the diet. They can be obtained from low-fat varieties of meat and fish, nuts, seeds.
  • Complex carbohydrates found in legumes, buckwheat, or barley complement this set of foods.

Sweets and simple carbohydrates are recommended to be completely excluded. You can replace them with dried fruits: raisins, dried apricots, dates. It is useful to consume vegetable oils (sunflower, olive), low-fat sour-milk products, cottage cheese.

A prerequisite of the diet during periods of remission is sufficient fluid intake. A day recommend drinking at least 8-10 glasses of clean drinking water. This volume may include juices, fruit drinks, compotes, herbal teas. During fasting and “hungry days” it is recommended to drink mineral water. The attending physician will help you choose healing water, taking into account the content of useful minerals.

Why the disease worsens in winter and summer

Often the disease manifests itself in the cold season, since during this period the human immunity is wounded. In winter, harmful microorganisms are most active, so they are more likely to infect a weak organism. The sun’s rays have a positive effect on the epidermis, but an excessive amount of ultraviolet radiation, especially in the summer, provokes the formation of plaques on the skin.

How long does the relapse stage last?

Usually exacerbation lasts an average of 17 days. But this is provided that treatment is carried out. If you do not adhere to preventive measures, then psoriasis manifests itself from five to ten times a year. The disease is not cured forever. Maximum remission can only be achieved thanks to the advice of a doctor.

If psoriasis worsens, what to do

When abundant rashes are noticed on the epidermis, it is worth going to an appointment with a dermatologist.

If the joints are affected, the examination is carried out by a rheumatologist or orthopedist.

The doctor will ask questions in order to establish the exact cause of the appearance of formations on the body and conduct the necessary diagnostic measures: visual examination, laboratory and instrumental studies.

With mild forms of scaly lichen, blood counts are normal. If the condition is serious, inflammatory processes, rheumatism or endocrine disorders are detected. Sometimes, a histopathological examination of skin samples and a biopsy are required to clarify the diagnosis.

How to quickly relieve exacerbation of psoriasis at home

After the diagnosis, the doctor, taking into account the patient’s condition, will prescribe complex therapy that has five goals:

  • elimination of inflammation,
  • removal of an allergic reaction,
  • body detoxification
  • strengthening immunity
  • decrease in nervous excitement.

Drug treatment

Traditional therapy consists of treating the affected areas with ointments, creams, gels and oral medication.

  1. Glucocorticosteroids. The fastest means. They have many side effects and contraindications. They are used only in severe psoriasis with the appointment of a doctor. These drugs are addictive – a decrease in the therapeutic effect, so they need to be used only for a month. Dermoveit is a strong glucocorticosteroid. Weaker: Lokasalen, Uniderm, Nazakort.
  2. Non-hormonal ointments, gels and sprays. Препараты медленно убирают симптомы псориаза. Но они безопаснее. Средства, как и глюкокортикостероиды, снимают раздражение, оказывают антимикробное действие. Самые распространённые из них салициловая и цинковая мази, крем «Цинокап».
  3. Гепатопротекторы. Drugs are needed to maintain the liver, as the disease disrupts its function. The drugs of this group include – “Karsil”, “Heptral.”
  4. Sorbents. Cleansing the body of toxic substances, involves a long intake of activated carbon. To speed up detoxification, the doctor prescribes – “Smecta”, “Enterosgel”, “Polysorb” or “Sorbex”.
  5. Sedatives. Medications support the central nervous system, weakened during illness. These are medicines – Persen, Parasidol, Imizin, alcoholic infusions of valerian or motherwort.
  6. Antihistamines. Relieve itching and irritation. These include Suprastin, Tavegil, and Claritin.

Vitamin intake

Vitamins normalize metabolism, saturate skin cells with oxygen, accelerate epidermal renewal, and strengthen immunity. Therefore, their intake is important for a patient with psoriasis. The main vitamins necessary for the treatment of scaly lichen: groups B, A, E, C, P.

Some preparations containing these substances should be administered intravenously, subcutaneously or intramuscularly:

Others are better absorbed by oral administration:

Physiotherapy

If the medications are not effective enough, the doctor prescribes physiotherapy, which helps to relieve acute symptoms of psoriasis and accelerates the healing of affected skin areas.

  1. Cryotherapy. The method is based on exposure to inflamed areas at low temperatures or rapid cooling of the body, as a result of which the immune system is rebuilt, which changes the course of the disease.
  2. Shock wave therapy. Acoustic waves reduce inflammation and accelerate the regeneration of the epidermis.
  3. Hydrotherapy. The method consists in taking coniferous-soda or coniferous-salt baths. Baths with dead sea salts will be effective.
  4. Selective phototherapy. The essence of manipulation is to impact the affected area with a pulsed “blow”, gradually increasing the radiation power.
  5. Ultraviolet. UV rays reduce the effect of immune cells on plaques, which favors the healing of the skin.
  6. Climate change. The patient is prescribed treatment at the resorts of the Dead or Black Sea. The action of sea water and the sun has a beneficial effect on the body: the symptoms of psoriasis decrease or disappear, the immune system strengthens.

Diet therapy

The diet in the stage of remission and exacerbation of the disease plays an important role, since it is necessary to improve metabolism and reduce the load on the pancreas, liver, and kidneys.

It is recommended to exclude allergy-causing products from the menu:

On the table must be constantly present:

  • Fresh vegetables, fruits, berries.
  • Vegetarian soups, cereals, vegetable stews.
  • The menu can include stewed or boiled chicken, rabbit, veal, river fish, sour-milk non-fat products.

Removing inflammation on the body with folk remedies

Home treatment is an auxiliary method of therapy and you should not completely rely on it. But alternative methods, coupled with drugs, can make the patient feel better.

  1. Relieve irritation, improve the condition of the skin with compresses from butter with propolis or mashed onions.
  2. Birch tar with salicylic alcohol and sea buckthorn oil will help during an exacerbation of the disease.
  3. Celandine oil will relieve itching, accelerate the regeneration of the epidermis.
  4. Wiping with water and vinegar will eliminate a strong burning sensation.
  5. For the treatment and prevention of psoriasis, ointments based on honey are used.
  6. They improve the condition of the skin, relieve irritation of the bath with decoctions of medicinal plants – a string, yarrow, soapwort, valerian or pine needles.

How to stop the development of pathology without hormones

Preparations for external use are divided into 3 groups:

  1. plant-based (Antipsor, Acrustal, Kartalin),
  2. on mineral substances (Rybakov ointment),
  3. combined (“Magnipsor”, “Cytopsor”).

Doctors also recommend the use of salicylic and zinc ointments, Dayvoneks, Losterin, Tsinokap, Psoriaten.

How to treat acute psoriatic arthritis

The process of treating the disease is long, and requires strict adherence to the recommendations of the doctor. Today, experts offer five methods in the fight against psoriatic arthritis: drug therapy, local treatment, physiotherapy, physiotherapy exercises, and surgery.

Drug therapy

The technique involves taking tablets and injections.

  • Anti-inflammatory drugs are prescribed to reduce inflammation – “Diclofenac”, “Nimesulide”, “Meloxicam”.
  • Cytostatic drugs slow down pathological processes and are usually taken within two years. Among them, the most commonly prescribed are: Methotrexate, Sulfasalazine.
  • Sedatives – Persen and Afobazole help with neurotic disorders and severe stress.
  • Immunomodulators restore the protective functions of the body. For the complex treatment of arthritis, Immunal and Likopid are suitable.
  • Immunosuppressants – Adalimumab and Etanercept suppress inflammation in psoriasis and arthritis.
  • Multivitamin preparations – “Alphabet” and “Vitrum” are taken to strengthen immunity and as a prevention of hypovitaminosis.

Local treatment

The method consists in applying special gels and ointments to the affected areas of the disease. Hormonal drugs such as Fluorocort, Sinalar have a greater effect.. As an alternative, doctors offer salicylic ointment, as it soothes, accelerates skin tissue repair and relieves inflammation.

What products are banned?

With psoriasis, it is forbidden to eat foods with a high allergic activity index. Their use can cause undesirable reactions and lead to an exacerbation of the disease. These products include:

  • Citrus
  • Berries and fruits of red and orange color,
  • Chocolate,
  • Chicken eggs,
  • Seafood,
  • Nuts
  • Mushrooms
  • Sweets,
  • Carbonated drinks containing preservatives and artificial colors.

In addition, the patient should exclude from the diet spicy, salty, fatty and smoked foods, refuse fast food, canned food and other products containing preservatives or “fast” carbohydrates. Food is better not to fry, but to steam, boil or bake. Do not get involved in animal fats and dairy products with high fat content, you should not drink strong tea and coffee.

Under the special ban alcoholic beverages. Long-term studies have proved that alcohol consumption is directly associated with exacerbations of the psoriatic process and an increase in lesions. In addition, ethyl alcohol has an extremely negative effect on the liver, which already suffers from the toxic effects of drugs used to treat psoriasis.

Thus, in addition to adjusting the diet, the patient will have to reconsider the whole lifestyle. For the sake of prolonging remission, it is necessary to forget about bad habits and streamline the regimen. Compliance with the regime of the day, the correct alternation of periods of work and rest will help reduce physical and nervous stress and eliminate the stress factor.

In addition, during periods of remission, sports, feasible physical activity, procedures for hardening the body and strengthening immunity are welcome. The patient is recommended long walks in the fresh air, increased activity, dosed sunbathing.

All of the above recommendations are aimed at achieving the only goal – extending the stage of remission of psoriasis, preventing relapse and returning the patient to a full and full life.

Physiotherapy

Therapy is usually carried out during the period of amelioration of the disease. In the process, therapeutic baths, mineral waters, paraffin baths and ultrasound are used. Joint massage is advisable at this time.

The method is aimed at improving the motor functions of the joints using a set of exercises on the feet and hands.

Surgical intervention

When conservative therapy has not yielded results or in a rather advanced case, operations are prescribed. Surgical intervention is necessary for the defeat of psoriatic arthritis of large joints – knee and hip. In this case, they are replaced with implants.

Scaly lichen is a serious chronic ailment. Periods of remission with enviable constancy are replaced by exacerbations. To avoid complications during relapse, it is necessary to start therapy in a timely manner under the supervision of a doctor. Only the complex treatment prescribed by the doctor will help stop the progress of the disease.

What to expect during remission in psoriasis?

Remission may occur after successful treatment of psoriasis.

Psoriasis manifests its activity in cycles of remissions and outbreaks.

Remissions are sometimes the result of treatment, but it is very difficult to predict how psoriasis will behave in a person over time and how this medical condition will respond to therapy.

Some people experience spontaneous remissions that occur for non-obvious reasons.

During remission, some people notice a significant decrease in symptoms, while others may find that their skin is completely clean. However, once the symptoms return even in those patients who strictly observe the doctor’s therapeutic recommendations.

How does the disease manifest

The rash with the disease is often localized in the region of the knees and elbows, it affects the skin under the hair. The spots are rounded plaques, the surface of which is covered with scales. The color of the formations varies from pink to bright red. They are elevated above the skin level and are located mainly symmetrically, sometimes they can focus on a certain part of the body, while they have the appearance of peculiar stripes.

In the initial stage, the size of the plaques is only a few millimeters, but as the disease progresses, they can reach 10 cm or more. The skin is dry, flaky and prone to bleeding.

The disease can affect the skin partially when there are several spots of different sizes, or almost completely, with the foci spreading to most of the body.

How long do remissions last?

Psoriasis is an unpredictable disorder. The duration of remissions in different cases differs – from several weeks to several months and even years.

However, in most people, remissions are observed from one month to one year.

The onset of the inactive stage of psoriasis and its duration depend on several factors. For example, some people have remissions in the summer, and when winter comes, outbreaks develop.

How to prevent outbreaks of psoriasis?

Psoriasis is a chronic medical condition, so an outbreak in any case will one day change remission. However, certain therapeutic strategies and positive changes in lifestyle can prolong periods of remission.

Experts believe that the development of psoriasis is affected by a combination of the genetic component and external provoking factors, which are commonly called triggers in medical practice. However, studies show that this condition does not occur in every person among those who have inherited one or more genes specific to psoriasis. This means that if people avoid external triggers, they can minimize the risk of psoriasis and return the disease to an active stage after remission.

Pharmaceutical products

The following medications can trigger outbreaks of psoriasis.

  • antimalarial drugs
  • propranolol used to treat high blood pressure (hypertension),
  • indomethacin, a member of the group of non-steroidal anti-inflammatory drugs (NSAIDs),
  • lithium prescribed for certain mental disorders
  • quinidine used to treat heart problems.

Skin damage

Psoriasis often develops in damaged areas of the skin. Punctures or scratches, as well as insect bites and sunburns, can all trigger symptoms.

Stress is a potential trigger for many chronic autoimmune disorders, including psoriasis. Special relaxing techniques can reduce stress and thus alleviate or prevent symptoms. These techniques include yoga, meditation, and breathing exercises.

Infections weaken the immune system, which sometimes affects psoriasis. Streptococcal infection or streptococcal throat (sore throat) can provoke the so-called drop-shaped psoriasis.

Other infections that can cause outbreaks of psoriasis include the following:

  • bronchitis,
  • respiratory infections
  • skin infections
  • tonsillitis.

Dietary factors

Some people believe that diet and food allergies can affect the symptoms of psoriasis. Scientists suggest that vitamin D deficiency may be associated not only with psoriasis, but also with other autoimmune diseases.

The symptoms of psoriasis often subside in the summer, and in the winter months begin to worsen. Cold weather is a common trigger for outbreaks of psoriasis.

Topical Medicines

Mild to moderate psoriasis may recede after using creams and ointments, for example:

  • calcineurin inhibitors that stop inflammation and the formation of psoriatic plaques,
  • coal tar to eliminate scaly, itching and inflammation on the skin,
  • corticosteroids to relieve inflammation and itching,
  • moisturizing creams to combat itching and dryness,
  • salicylic acid to remove dead skin cells and parts of flaky skin,
  • topical retinoids, that is, derivatives of vitamin A, which help reduce the degree of inflammation.
  • vitamin D analogues, that is, synthetic forms of vitamin D.

These drugs are not suitable for every patient. For example, some retinoids cannot be used during pregnancy.

To successfully manage the symptoms of psoriasis, many people need to use several drugs from the list above.

Light therapy

Phototherapy or light therapy involves the use of ultraviolet rays to alleviate the symptoms of psoriasis. This type of treatment can be provided by exposure to the body of natural light or by the patient receiving certain doses of artificial ultraviolet radiation.

If a person wants to try phototherapy, then first he should discuss this issue with a doctor. The specialist will explain all the benefits of this treatment and talk about its side effects, which include dry skin, nausea and a rash.

Systemic drugs

People with severe forms of psoriasis may need oral or injectable medications, which are also called systemic medications, as they affect all cells in the body.

These drugs include the following:

  • biological agents that affect the immune system,
  • cyclosporin, which suppresses the activity of the immune system,
  • methotrexate, which slows down the formation of skin cells and reduces inflammation,
  • oral retinoids or derivatives of vitamin A.

Systemic drugs can cause severe side effects, therefore, as a rule, doctors prescribe them for a short period of time and suggest using them with topical creams or phototherapy.

Lifestyle & Home Care Methods

Alcohol and smoking can trigger psoriasis symptoms.

If a person suffering from psoriasis wants to improve his condition by making changes in his lifestyle, then, first of all, he should think about how to avoid stress, cigarette smoke and other provoking factors, including cold weather.

You can also try home care methods. The following are recommendations that can not be cured of psoriasis, but itching, dryness and other uncomfortable symptoms can be alleviated:

  • apply aloe vera gel to relieve redness and itching,
  • Avoid alcohol and smoking
  • take baths with colloidal oatmeal or Epsom salt,
  • take omega-3 fatty acid supplements
  • Use moisturizers every day to treat dry skin, especially during the winter months.

Prospects

Psoriasis is a disorder that usually manifests itself in waves of outbreaks and remissions. Although this condition worries people until the end of life, its symptoms can be alleviated by the use of drugs and positive changes in lifestyle.

To achieve remissions, triggering factors should be avoided and the available treatment options discussed with your doctor. Modern medicine offers patients with psoriasis a number of effective therapeutic strategies. People usually try several different treatment approaches to find one that works best.

Even when psoriasis goes into the active stage, home care methods and topical ointments can be used to minimize discomfort.

Non-drug treatments

According to statistics, a list of the main methods of treating psoriasis is arranged in this sequence (as the effectiveness decreases):

An active lifestyle, including any moderate physical activity, improves the general condition of the patient, improves immunity and psychological comfort. This, in turn, has a positive effect on the dynamics of the treatment of psoriasis.

Internal complex therapy

Комплексное лечение заболевания всегда преследует три цели: устранение причины обострений, избавление от симптомов и поддержание иммунитета на должном уровне. Unfortunately, even this approach does not help to recover completely, but only to extend the period of remission as much as possible.

Internal therapy includes the following drugs:

In addition, multivitamins (Aevit, Complivit, Decamevit) are mandatory – a monthly course twice a year.

Outdoor facilities

These drugs are selected taking into account the form and severity of the disease.

In mild cases, non-hormonal ointments and gels are indicated; in more severe cases, therapy may include hormone-containing agents.

The most common external drugs are:

Unfortunately, external remedies can only eliminate or reduce the symptoms of the disease, but are not able to cure it. Only a combination of several methods and an individual approach to the treatment of each patient help achieve sustainable remission.

Alternative medicine

Therapy of psoriasis with alternative methods is advisable only if the disease is not accompanied by pathological changes in the joints (finger deformation, night pain), a violation of the general condition of the body (temperature or weakness). The area of ​​rashes should not exceed 3% of the entire surface of the skin.

Treatment of psoriasis at home is not carried out if the disease proceeds in a generalized form.

Here are some pretty effective recipes that improve your skin condition for psoriasis:

  1. Grind fresh calendula flowers, celandine root and propolis (10 g each) in a mortar, add St. John’s wort (20 g) and 1 teaspoon of vegetable oil. Apply the mixture 3 times a day to the affected area.
  2. Lubricate the spots with tar, rinse with tar soap. It is better to carry out the procedure before bedtime, since the product has a specific smell that lasts several hours after washing off. Start with 10 minutes, then bring the exposure time to 40 minutes.
  3. Beat 2 chicken eggs with half a tablespoon of acetic acid and a tablespoon of vegetable oil. Lubricate the foci before bedtime.
  4. Tear out the celandine with a root, wash, grind and squeeze the juice. Lubricate locally every stain. To process the entire flowering season.
  5. Brew 1 tablespoon of dry pulp with 250 ml of boiling water. Insist 1 hour and strain, add water to obtain the original volume, take 50 ml before each meal.

Sometimes herbal remedies are much more effective than pharmacotherapy, so this treatment has a right to exist. In any case, the tactics of therapy are selected individually by trial and error. But with severe forms and a large area of ​​damage, treatment is recommended to be carried out in a hospital.

The most effective medicines

You can quickly get rid of symptoms with the help of drugs: Psoril, Methotrexate, Neotigazone. Their reception is necessarily complemented by external processing.

Adequate treatment is possible only after a complete examination of the patient. This is a lengthy process, which at times will not give a result, so it must occur under the constant supervision of a doctor.

Only a specialist can determine the effectiveness of the technique and choose a method that will provide the patient with a long-term remission.

What is psoriasis?

Psoriasis or scaly lichen is a disease characterized by a chronic course, frequent relapses and remissions. In some patients, simultaneously with skin disease, there are lesions of the musculoskeletal system, as well as dysfunctions of some internal organs (liver, kidneys, etc.) and physiological systems (nervous, endocrine, etc.).

For many decades, psoriasis has been the subject of comprehensive study, and the famous aphorism of dermatovenerologist Auspitz, expressed by him at the end of the 19th century: “What psoriasis is, no one knows today” – it does not lose its significance even now, since not a single one of previously proposed or existing hypotheses is not universally accepted.

Prognosis – the disease is uncertain in terms of duration, timing of clinical recovery, relapse and exacerbation. In a significant part of patients, especially those who did not receive intensive treatment, primarily with corticosteroids and cytostatics, long-term, including spontaneous periods of clinical cure, are possible. The prognosis is less favorable for arthropatic psoriasis, which develops in some patients as a result of periarticular tissue infiltration.

Interphalangeal joints are most often affected, but large joints can also be involved in the pathological process and very rarely sacroiliac joints and spinal joints. Initially, patients are only concerned about pain in the joints (arthralgia, then their swelling develops, movements are limited, subluxations and dislocations appear. Osteoporosis and narrowing of the joint gap appear on radiographs. The process ends with ankylosis and persistent joint deformities, which can lead to disability. In contrast to disability. other psoriatic arthritis develops in the presence of characteristic rashes on the skin, often accompanied by nail damage, as well as exacerbation and remission of the joint process, usually adayut with aggravation on the skin.

Theories of Psoriasis

How to achieve persistent remission

Having established the patient with a diagnosis of psoriasis, a competent doctor will explain that the goal of the treatment is the longest possible remission. In the event of its occurrence, the psoriatic rash can completely resolve and clinical cure occurs, and in some cases the absolute majority of the elements is resolved, with the exception of several papules, usually located in “favorite” places (knees, elbows, scalp). These so-called “duty plaques” sometimes remain for years.

To achieve and maintain remission as long as possible, it is necessary to follow a diet and recommendations for a healthy lifestyle, sanitize the oral cavity, and other existing foci of chronic infection. It is during the period of remission that it is necessary to contact the infectious disease specialist for the treatment of opisthorchiasis and giardiasis, we also do not forget that at this time herbal medicine is aimed at improving the functions of the liver and gall bladder, taking hepatoprotective courses, treating dysbiosis and candidiasis, as well as sanatorium resort treatment.

Remember also about strengthening the immune system, regular, but moderate physical activity and walking in the fresh air. Strive for a positive attitude to all life events, remember that stress is a provocateur of new exacerbations of the disease.

Achieving remission of psoriasis is perhaps an occasion for further improvement, meditation, and the search for peace of mind, which will contribute to strengthening the nervous system and the stability of remission. It is imperative to praise yourself for any positive result achieved, adherence to recommendations and diet, and never indulge in despair. Remember that negative emotions are closed by a vicious circle and will cause a new aggravation of the skin process.

Kochergin N.G. Psoriasis: the latest news. Dermatology. Adj. Consilium Medicum 2007, 2: 14–7.

Skin Diseases: A Multi-Volume Guide to Dermatovenereology. – T.3 / Under the editorship of L.N. Mashkillayson. – M.: Medicine, 1964 .– 678s.

Skin and Sexually Transmitted Diseases: A Guide for Physicians. In two volumes. – 2nd ed., Revised. and add. – T.2 / Ed. Yu.K. Skripkina and V.N. Mordovtseva. – M .: Medicine, 1999 .– 880s.

Skin and sexually transmitted diseases / Ed. OK. Shaposhnikov. – M .: Medicine, 1985 .– 368 p.

Actual Dermatology / Ed. V.P. Adaskevich – M .: Medical book, N. Novgorod: Publishing house of the Novosibirsk State Medical Academy, 2000. – 306s.

Podgornova E.S. Dermatovenerologist of the highest category, MD

Psoriasis is characterized by a chronic course, the disease has been pursuing a person for years, exacerbating, then temporarily fading. Remission of psoriasis can last from 6 months to several years, during this period the main skin symptoms disappear and the patient forgets about his illness. But, unfortunately, modern medicine is not able to completely cure the disease and any adverse factor (stress, hypothermia, allergic reaction), can restart the pathological process. In this article, we will look at how to achieve remission in psoriasis.

Psoriasis is a severe dermatosis, which is manifested by damage to the skin, nails, and in complicated cases, and joints. For professionals, the origin of psoriasis is still a mystery. Scientists even apply the scientific term to it – a multifactorial disease, which, ultimately, does not mean anything concrete, but only confirms that the disease can arise from anything and anytime.

There are many hypotheses and theories in the medical community about the causes of psoriasis. This is genetic, viral, allergenic, infectious, neurogenic and others. Regardless of what the trigger of the disease is, the main efforts of doctors are aimed at achieving a stable and long-term remission that allows the patient to live a full life.

The term remission refers to the temporary weakening or complete disappearance of the symptoms of the disease. With regard to psoriasis, this condition means the attenuation of the inflammatory process, the disappearance of psoriatic plaques and unpleasant sensations (itching, peeling).

In this case, the patient should understand that the period of remission is not a recovery. Even after the restoration and healing of the skin, pathological changes are preserved in the dermis, and an exacerbation of the psoriatic process can occur at any time. During periods of improvement, the most important task of the patient and the doctor is to follow preventive measures and take medications that can maintain and prolong the state of remission.

How to achieve remission of psoriasis?

To achieve the remission of psoriasis, it is necessary to carefully follow the recommendations of the attending physician and completely reconsider the lifestyle. The complex therapy of psoriasis includes the following measures:

The following medications are prescribed to patients:

  1. Antihistamines to relieve itching and inflammation,
  2. Nonsteroidal anti-inflammatory drugs (NSAIDs),
  3. Antibiotics (with the attachment of secondary infections),
  4. In severe forms of psoriasis, cytostatics (Sandimun, Methotrexate), arotmatic retinoids are prescribed.

In addition, the composition of complex therapy includes preparations of calcium, sodium thiosulfate, diuretics are used. This allows you to cleanse the body of toxins and eliminate puffiness. Vitamin-mineral complexes and corticosteroids help strengthen the effectiveness of treatment. To maintain the nervous system, sedatives and antidepressants are prescribed.

An important role in achieving remission of psoriasis is played by external agents (ointments, gels, solutions, creams, aerosols). Their use allows you to quickly remove painful symptoms, eliminate itching, inflammation and prevent the appearance of new rashes.

Ointments and creams, zinc, tar, Naftalan oil, and solid oil are especially popular. The pharmaceutical industry produces many drugs based on these components, they can be used for a long time, because they are not addictive and have a minimum of side effects.

With severe manifestations of psoriasis (Advantan, Dermoveyt, Lokoid, Flucinar, Fluorocort and many others). A doctor should prescribe such drugs, they should be used in short courses, since hormone-based drugs have many side effects and contraindications.

Great help in achieving remission is provided by physiotherapy. For the treatment of psoriasis, the PUVA method is used (psoralen-based drugs are prescribed simultaneously with ultraviolet radiation). In addition, procedures such as paraffin applications for lesions, cryotherapy, laser excimer therapy help to improve.

The patient is prescribed an unloading diet. In the most acute phase of the disease, the patient is recommended therapeutic fasting and taking warm mineral water, which allows you to cleanse the body of toxins. In the future, you must adhere to a healthy diet. Specialists – nutritionists will help you choose the optimal diet (read more), which will extend the period of remission.

Is it possible to achieve remission

Experts give many tips on how to achieve remission of psoriasis. All of them have a relative positive effect and can extend the period of mitigation of symptoms:

  1. After the signs of pathology have disappeared, it is impossible to immediately stop taking medications: it is necessary to continue drug therapy until the removal of deep skin inflammations.
  2. Compliance with the diet and the Pegano principle – 70-80% of the diet should be alkali-forming products: fruits – apples, melon, bananas, citruses and their juices, vegetables (except for tomatoes, potatoes, peppers, eggplant), beans, pumpkin, cabbage, various fruit juices (grapes, pears, apricot, papaya, mango, pineapple, grapefruit and oranges) and vegetables (carrot, beetroot, onion, spinach, etc.), lemon tea, stewed fruits and vegetables, etc. 20-30% of the remaining food should be acid-forming foods containing protein, starches, sugar, fats and oils.
  3. Negative factors affecting the course of psoriasis should be avoided.
  4. You must play sports or take daily walks in the fresh air.
  5. Help sunbathing, visiting specialized tanning salons, swimming in radon springs.
  6. Repeated courses of physiotherapeutic procedures (paraffin baths, cryotherapy, laser excimer therapy, ultraviolet radiation, etc.).
  7. Avoid exposure to various chemicals on damaged skin (household chemicals, hair dyes, various chemical drugs).
  8. It is better to wear loose clothing and underwear made from natural fabrics.
  9. It is necessary to use soft washcloths and towels to avoid skin damage, wipe the body with soaking movements. Shampoos used in helium should be drug-based.
  10. If possible, all inflammatory processes in the body should be eliminated – to remove diseased teeth, to treat respiratory infections (rhinitis, sinusitis, sinusitis, pneumonia, etc.).

They also achieve remission in psoriasis in various additional ways that are not directly related to psoriasis:

  1. It is necessary from time to time to cleanse the body of toxins and toxins that provoke psoriasis: undergo treatment with sorbent preparations (Activated Carbon, Smecta, Sorbex, Enterosgel) in coordination with the doctor in charge, use cleansing enemas.
  2. It is necessary to take medications to restore intestinal microflora (Linex, Lactofiltrum, Bifiform, etc.) and hepatoprotectors (Essentiale Forte, Ursosan, Hepanorm, etc.).
  3. To stop allergic attacks, you need to take antihistamines, but only for medical purposes.
  4. It will help strengthen the protective functions of the body with folic acid preparations, vitamin and multivitamin complexes (A, I, C).

In addition, drugs containing calcium, sodium thiosulfate, and drugs with diuretic action are prescribed as complex therapy. They activate the excretory function of the kidneys, help in cleaning the genitourinary system of decay products and eliminate puffiness. To stabilize the nervous system and reduce emotional arousal, sedatives and antidepressants are taken.

Non-pharmacological methods of supporting the patient’s body are good for prolonging remission and rashes. Yoga classes affect the psycho-emotional state of a person, support and tone the muscle system.

Practical meditation can help overcome irritability, depression, and mental disorders. Homeopathy and apitherapy (treatment with bee stings, honey and propolis) also positively affect the relief of symptoms in psoriasis.

Summary and Conclusions

Thus, the basic rules for extending remission are as follows:

  • stabilization of the patient’s mental state,
  • identification and neutralization of harmful factors provoking an exacerbation of the disease,
  • diet and daily routine
  • refusal of alcohol, smoking.

It is useful to control the duration of the remission process.


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